Seeking to understand where Americans receive the best health care, personal finance website WalletHub examined costs, access to care and outcomes via 40 different metrics in each state. Here’s its list of best and worst states for health care in 2018.

Get ready for five days of inspiration, connection and medical education at OMED 18, set for Oct. 5-9 in San Diego. Hear from dynamic speakers, network, collaborate and celebrate alongside thousands of like-minded DOs and osteopathic medical students.